Whittam, Jennilyn P.

Whittam, Jennilyn P. is an individual health care provider with primary practice located at 41 Castle Point Rd , Wappingers Falls NY 12590-7004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whittam, Jennilyn P. can be contacted via phone (845) 831-2000.

Contact Information

Primary practice address
41 Castle Point Rd Wappingers Falls NY 12590-7004
Phone: (845) 831-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 336306 New York

Profile Details

NPI number 1023339090
LBN Legal business name Whittam, Jennilyn P.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2010
Last updated Jan 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023339090 NPPES
New York MEDICAID 03240420

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